Laserfiche WebLink
1• <br /> r . SQrJ QQU N Environmental Health Department <br /> CQtJNTY--- <br /> 10. 1 am providing the following cold tnmperaturn control for the cold holding of potentially hazardous foods below <br /> -F(if food is used the following day,maintain below 41`F tarnpefature): <br /> e cteests 0 Refrigerator <br /> A r <br /> 'Refrigerated truck Bice bath and cubs <br /> ©other(_specify) <br /> 11. 1 ern providing the€oWMrtg items within my booth for the sanitary cleaning of food preparation utensil <br /> O,Tbraee compartment sink. <br /> OR <br /> [ 'f hree deep tuffs (basins 6-8 inches minimum), one for soapy water, one for rinsing and One for a bleach <br /> �n(one tablespoon of bleach per gallon of water). <br /> ergent,bleach,and wiping cloths(cleaning towels). <br /> Tub to stone wiping cloths in bleach solution. <br />! 12 1 am providing the following for adequate hand washing facMes, but separate from utensil wash within my <br /> booth: <br /> rWater supply dispenser with warm water at a minimum of 100°F(i.e.6-20 gallon container with spigot). <br /> 210'ne separate tub(bucket or basin)for the collection of rinselwastewater. <br /> 21*paper'towels and pum"Yie soap container. <br /> 13. Names of resppnsible persons to be present in booth during all hours of operation: <br /> aet-%OJCJI — L H <br /> "lrnportard" All food vendor booths are subject to inspection. Please make a copy of this application in <br /> preparation for this event. A copy of this checklist must be in the booth at all hours of <br /> preparation gpd operation. Return original to festival coordinator three weeks prior to <br /> this event <br /> 14. CompWed by few <br /> Signature Title Date <br /> sso c& <br /> Heafth Permit Hand woshWow <br /> sr�,Ma+ar,,a <br /> ' Papw Mwd Towis <br /> soap dispenser <br /> �e,arq sore s.r� <br /> Row s ft l bwIvch�s#=pcloh <br /> .1 <br /> Bootie must be on <br /> C Xlete,M04k. <br /> Plywood,or a Tarp. <br /> �»7arAc <br /> /~ Gop.ndw,w faw,Nr oleachanawwr Garbage <br /> / Can <br /> Of E lodwr <br /> ram <br /> NMp <br /> Ice Cooler sarwna <br /> �Ja c{spi s Fpad t���grip r» 1ArM.tlr Carew <br /> =rnr�covaar.yrouner <br /> 1868 E. Hazellon Avenue J Stockton,California 952051 T 209 468-3420 J F 209 464-0138 J www.sjcehd.com <br /> EHD 1 a-ox Papt+r!d 1 TEMP EVENT APP <br /> 07IN17 <br />